Individual provider Active NPI

Kamal Ramanlal Pathak

  • Psychiatry Physician
  • Napa, CA
National Provider Identifier
1306130406
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A150241 Issued in CA
Practice address
2751 Napa Valley Corporate Dr
Napa, CA 94558-6216
Phone
(305) 842-8900
NPI assigned
Jun 6, 2011
Last updated
May 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A150241 CA Primary
Psychiatry Physician 2084P0800X ME116361 FL

Addresses

Primary practice location

2751 Napa Valley Corporate Dr
Napa, CA 94558-6216

Mailing address

2215 5TH Street
Berkeley, CA 94710
Phone (305) 842-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A150241CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidance/Care Center, Inc. CurrentSince Jun 24, 2016 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Jan 23, 2017 Accepting new patients
County of Kern Psychiatry CurrentSince Jun 1, 2018 Accepting new patients
County of Napa CurrentSince Sep 9, 2022 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry Current Accepting new patients
County of Kern Psychiatry Current Accepting new patients
Napa County CurrentSince Sep 9, 2022 Accepting new patients
County of Kern Psychiatry CurrentSince Jun 1, 2018 Accepting new patients
Guidance/Care Center, Inc. CurrentSince Jun 24, 2016 Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

1600 E Belle Ter
Bakersfield, CA 93307
Phone (661) 635-2950

2751 Napa Valley Corporate Dr
Bldg A
Napa, CA 94558
Phone (707) 253-4279

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

3000 41st Street Ocean
Marathon, FL 33050
Phone (305) 434-9000

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1306130406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 5TH STREET",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94710",
            "telephone_number": "305-842-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 NAPA VALLEY CORPORATE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586216",
            "telephone_number": "305-842-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "KAMAL",
        "middle_name": "RAMANLAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A150241",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME116361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.